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Home My WebLink About7020-zNO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. ~999 ...... Date .............. J~l-y .... $1' -., 19.7~+. THIS CERTIFIES that the building located at .Atbo .Dr-i. ve ............... Street Map No. -x-)~ ......... Block No... -x.x ..... Lot No..x.x~ ... La. ute1...~,7~., .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... Dec" ~ ..... , 197'3' pursuant to which Building Permit No.. 7.020Z. dated ........ Dee .... 1~ ......., 19.~.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ' 'Private' o~e' family, dwe'l.l, ing ...................................... The certificate is issued to . ~r. ank..l~ar~u~.ano& .~rl.f~ · .o~r~l,s .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...,Tur~..1+..~971+.. by. R.,..¥:1 ~ ~ .... UNDERWRITERS CERTIFICATE No. t~ -~ (~0(>~. · · t4ay. · .21. · .~.97~ ............... HOUSE NUMBER ..... T000 ..... Street.. 'A].b'O ' DY£Ve ........................... Building Inspector ~ FOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7020 Z Permission is hereby granted to: ............ '68'"'Pt~/Jl~'"Ir~ ...................................... ............... · ~ez'~ ......... 1~,¥., .......................... ~o ~1~1~ ..~ ..ml~ · ..~a~.l-y. · ~ve~.l.J~g ..................................................................................... at premises located at ..&~JI~O..~F.~.~ ................................................................................................. .................................................. ~m'~1 .......... !1';/%' ............................................................................ pursuant to application dated ........................ 13~ ....... .~ .............. , 19.~.~.., and approved by the Building Inspector. Fee $.?~,,,~ ........... f ~ ~ Buildin'~' Inspectlr FORM NO. $ TOWN OF $OUTHOLD Building Department '[own Clerks Office Sou~hold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ^. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of oil buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April ]9§7), Non-conforming uses, or buildings and "pre-existing" land uses: ]. Accurate survey of property showing oil property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: ]. Certificate of occupancy $,5.00 2. Certificate of occupancy on pre-existing dwelling or land use $,5.00 3. Copy of certificate of occupancy $].00 Date ...,~uJ.~... ]. 5.,....1(~.?.~ .............. New Building ...... ~. ......Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .A..]....b..e....D..~..~.y..e.~....~..a..~l.~...e..[..,....~..,..~.., ............................................................................ Owner Or Owners Of Property .~[...~..-.....ET..~.r..~.*.....~..~...a..a...k...~..r.~.u...~..a...a..? ........................................................ Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No..,7.,.0.2.0...~. .......Date Of Permit ..]-..2./..~Z'..7..3....Applicant ..~.,z'.a...a..lf....~...a..~..~.~,~.e.a.p. ............................. Health Dept. Approva16~/JJ/..?.~...~.3.-.5.Q.-..18.]~ ....... Labor Dept. Approval ................................................ Underwriters Approval .-~...16063~..5./.2.1./.'/'.4.....Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......... ~....~.~;.~.~.'. .................. Fee Submitted $ ........... .' ........................ Construction on above described building and permit meets all applicable codes and regulations. App,,cant .................................... Sworn to before mere}his .......... [..L day of q .......... Notary Public .................................... County (stamp or seal) NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z~ ....... Date ............. J~l~e...l~ ...... , 19~. THIS CERTIFIES that the building located at ...llbo .l)l'l-~e ............. Street Map No..~J~. ........ Block No...x~. ....... Lot No.. ~.. I~tl'e~i,...li.,.~., ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... l)ee ....I~..., 19.?~. pursuant to which Building Permit No.. dated ............ Dee....l~..., 19.7.~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Pl'i~f~;e..~e. fal~.]~..dw~].l~.l~ ....................................... The certificate is issued to .Pl'~k .M~l~.~l,a~e ....... .~ ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~F..~..~.....~... (.~.?..~. ............. UNDERWRITERS CERTIFICATE No. '. '~0~ ..... .~..[..)(...~. !.. (.~ .~..~ ........... HOUSE NUMBER .... ¶ 000 ..... Street ... ~,lb~ l)~e~ .......................... Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS ai< BUREAU OF: ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 . ,.re al, .v ?4 , pp,catio, No.o,Zile N 160635 THIS CERTIFIES THAT ~ra~k ~.~arturano, Albo Drive, #10OD, Hattituck, L.I. in the following location; was examined on [] Basement [] lstFI. [] 2nd FI. O~J~8ide Section Block Lot 1 ~ S 1 ~ 7 ~1 and found to be in compliance with the requirements of this Board. ~ ~j TTLUEL~ tECEPTACLES SWITCHES ,f4CAN DE SC E NT I FFL~uXo~TEU~EENST [ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS A~T. K.W. OiL H.P. GAS H.P. A~T. NO. A.W.G. RANGES AMT. K.W. SPECIAL EEC'PT COO~KT! N~ D~,Cw~S A~TOVE%SW. ~'~T" WASKHw~S EXHAUST FANS DIMMERS SERVICE DI~OHNECTt/"O*O~' s E METER A~T AMp. TYPE EQUIP 1~'2W 1.,~3W 3~'3W 3.~'4W ND. OF CC. COND PER .g 1 l~O C~ x l E APPA TU$: 1-13 ar~p. Vacuum Unit 1-10 amo. Garbage Compactor V I C A. W.G. NO. OF HI-LEG A.W.G. Of: CC. COND. OF HI-LEG OF NEUTRAl Anthony J. }{arris, Twomey Ave., Calverton, L.I. 11933 ~ ~NA~R Per ~ '~, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex'st'ng ' land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ... Ju'l~'" '} s~.i....1~.74 ............. New Building ........~. ...... Addition ................ Old or Pre-existing Building ................ Vacant land .............. Location Of Property ,6,~.~o...~..l..¥eb....~.;l..j...~ry.* ........................................................................... Owner Or Owners Of Property ,M~.,..f-,..~z'~,..F.r~n.lc..M~..t~.l~o ....................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No...7020Z ...... Date Of Permit ..].2./.4~/.Z.:i..Applicant .~.~k-.~n~ ............................ Health Dept. Approval 6'~4'/'?'4"'#G-~-.1-8.! ....... Labor Dept. Approval ................................................ Underwriters Approval ...lff..1_~0~.$5...~12.1.7?.~j....Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ........... ~, ............................ Fee Submitted $ ~ ~ Construction on above described building and ~ermit meets all applicable codes and regulations. Swor. to before me ..... ............... . aoy or ...(....j..: ...... ~ ........................ (stamp or seal)~P~ ..... iNO[O~ ~uvlic .................................... County u ~ SUFFOLK COUNTY DEPARTMENT OF HEALTH Health De~'!f~l~L~b Reference Numbe~!! APPLICATION FOR APPROVAL TO CONST~mT 1. Applicant ', Address 2. Property Location Phone -- ~'; ,"'? 5. Subdiv. J ~ 6. Section /',_'~ ~ ~.~,.~ /~ 7. Lot Number 8. Private Well Township 9. Public Water Distance to main Length ~?~' / feet Village yYd~ , 3. Public W~ter Company N~me 4. Lot size. Width feet lO. ll. Sewage Disposal System: A. O~gallon septic tank: Precast Equivalent Block B. Leaching pools: Number of pools ~ o Precast~ Block Special If private well, fill following blanks: A. Tank capacity -'~ B. C. D. E. in the gallons Pump G.P.M. ~ Total well depth Depth to ground water Amount of water in well (For Health Dept. Use) The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department that an adequate and satisfactory Sewage Disposal System and Water Supply can be installed on this p)ot, APPROVAL DATE f~//Vh 7 SIGNED ~'~-~ -~-------. S-15 Rev. 4/1/73 (Building Inspector) ~ APPLICATION FOR BUILDING PERMIT ~ Date i~.~...-.....~... ......................... ,19 .,~......~.... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ Jn ink and submitted in triplicate to the Building~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal ~or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~.~.?.....~.~,~~¢~) ....................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ................................................... Plumber's License No .... :....~...~.,~......L;.....~ Electrician's License No..T'...~....~.~ ..... Other Trade's License No ............................................... Location of land on whiCh prooosed work will be done. Map No~; ....~. ...................... .~ ......... Lot No ......................... Street and Number ...~....,¢~~ ......... ~.~ .............................................. Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ..... ~/~.~..~ ............................................................................................. Intended use and occupancy .,~.~~~ ........................................................................................ 3. Nature of work (check which applicable): New Building ........ Addition .................. Alteration Repair .................. Removal .................. Demolition .................... Other Work ................................................ . ..... (Description) 4. Estimated Cost ........~...(~....J.(~.. ........................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ~ ................. Number of dwelling units on each floor ...~ ....................... If garage, number of cars ...~.:.../.. ................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensionsof~ing structures, if any: Fron~~..~ Rear .~ ........ Depth ~ ...... Height ...... ~ ....... Number of Stories ..~--77~.... ..................................................... ~ ................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................. Height ............................ Number of Stories ........ 7 .......... .............. ~, // ~ // 8. Dimensions of e~tire new. construction: Front .~..'T...~... ................... Rear .....~...~........"~.. ........ Depth ....~..~.~. ............... Height ....... ~. ......... Number of Stories ...... ~. ............................................................................................... , ............ 9. Size of lot: Front ................ ~ -, .,, -, ~...~.... ............................. Rear ...... ~.~..~. ......................... ,~Dept~h ....... :¢~. ................. 10. Date of Purchase ...~./~T~.K..;~.,~J..~..2~. ............... Name of Former Owner ...~..,~,/,~.(~/~1~[4~)~.~..~l 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .,,<'.'.'.'.'.'.'.'~.~. .................. ......~, ................ 13. Will lot be regraded ...... L/~ .......... Will excess fill be removed from premises: ( ) Ye.s_. 14. Na me o f Owner of premises ......~.. ~.~... ~~ Add reSS ~...~......?.~'~'..~.....~....~.. ~h~......~....?..--..-~ Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate Whether interior or corner lot. COUNTY OF ................................................................................................. being duly sworn, deposes and says thor he is the opplicom (Name of individual signing contrectO above named. He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ dayof ............................................ ,19 ........ Notary Public, . ................................................... County .. ' (Signature of applicant) DR ADDITION SECTION NEW YORK STATE DATE ~ ~4 H.D. REF. ~3-~'f~/ The se~'age disposal and water supply facilities for this location have been inspected by this'/~ePartment and found ~ Oht~f of General Engin~sri 1~ S~rvioes